Description
This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings.
Resources
| Name | Format | Description | Link |
|---|---|---|---|
| Grievance Type | CSV | This file contains data regarding grievances, sorted by category and types. | Open resource |
| Age | CSV | This file contains data sorted by age of members for enrollment demographics, utilization of services, and state fair hearings. | Open resource |
| Provider Ratios | CSV | This file contains data regarding the provider ratios of Primary Care Physicians (PCPs) per 2,000 members and physicians per 1,200 members. | Open resource |
| Ethnicity | CSV | This file contains data sorted by ethnicity of members for enrollment demographics, utilization of services, and state fair hearings. | Open resource |
| Grievance Demographics | CSV | This file contains data regarding grievances per 1,000 members, sorted by demographics, including sex, age, ethnicity and population. | Open resource |
| Sex | CSV | This file contains data sorted by sex of members for enrollment demographics, utilization of services, and state fair hearings. | Open resource |
| All resource data | ZIP | managed-care-performance-monitoring-dashboard-report-bqpmrdhe.zip | Open resource |
| All resource data | ZIP | managed-care-performance-monitoring-dashboard-report-xrotor.zip | Open resource |
| Encounter Completeness | CSV | This file contains data regarding encounter completeness for each contracted managed care health plan by category of service. | Open resource |
| HEDIS | CSV | This file contains data regarding Healthcare Effectiveness Data and Information Set (HEDIS®) Aggregated Quality Factor Score (AQFS) for each managed care health plan by county of operation. | Open resource |
| Managed Care Performance Monitoring Dashboard Report | This report contains data regarding enrollment demographics, utilization of services, grievances, state fair hearings, provider ratios, encounter completeness, Healthcare Effectiveness Data and Information Set (HEDIS) rates, and medical audit findings. | Open resource | |
| Population | CSV | This file contains data sorted by population for enrollment demographics, utilization of services, and state fair hearings. | Open resource |